Better Preparation and Training Determine Home Care Workers’ Self-Efficacy in Contributing to Heart Failure Self-Care

Stawnychy, Michael A.
Ringel, Joanna B.
Barbara Riegel,
Sterling, Madeline R.

¹Robert Wood Johnson Foundation Future of Nursing Scholar
²School of Nursing, 16142University of Pennsylvania, Philadelphia, PA, USA
³12295Weill Cornell Medicine, New York, NY, USA
⁴Mary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Australia

Michael A. Stawnychy, School of Nursing, University of Pennsylvania, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA 19104-4217, USA. Email: [email protected]

Received December 9, 2021

Received in revised form June 18, 2022

Accepted June 23, 2022

Journal of Applied Gerontology 42(4):p 651-659, April 2023. | DOI: 10.1177/07334648221113322

Objective

Identify determinants of home care workers’ (HCW) self-efficacy in contributing to heart failure (HF) self-care.

Methods

Secondary analysis of a survey (n = 328) examining characteristics of HCWs caring for adults with HF in New York. Self-efficacy assessed using Caregiver Self-Efficacy in Contributing to Self-Care Scale. Standardized scores range 0–100; ≥ 70 points indicate adequate self-efficacy. Characteristics determined by self-efficacy (low vs. adequate). Prevalence ratios with 95% confidence intervals (PR [95% CI]) were estimated using multivariable Poisson regression with robust standard errors.

Results

Home care workers with adequate self-efficacy had at least some prior HF training (55% vs. 17%, p < .001) and greater job satisfaction (90% vs. 77%, p = .003). Significant determinants for adequate self-efficacy were employment length (1.02 [1.00–1.03], p = .027), preparation for caregiving (3.10 [2.42–3.96], p < .001), and HF training (1.48 [1.20–1.84], p < .001).

Conclusion

Home care agencies and policy-makers can target caregiving preparation and HF training to improve HCWs’ confidence in caring for adult HF patients.